Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marin Pacific Medical Group

Organization Psychologist · NPI 1659113173

Marin Pacific Medical Group is a Psychologist in Los Angeles, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
9
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Practice location Address checks out

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone: (341) 217-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1935a Addison St Ste 200, Berkeley, CA 94704-1101 — (341) 217-8411

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X
Psychiatry Physician Taxonomy 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1659113173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Zizmor — Physician · (341) 222-3800
NPI enumeratedJune 7, 2024
Last updated in NPPESJuly 24, 2025
Certification dateJune 27, 2025
Mailing address1935a Addison St Ste 200, Berkeley, CA 94704-1101

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